Neonatal Presentation of Vein of Galen Aneurysmal Malformation: A Case Report
Ashish Shrivastava, MD1*, Madhumithaa Bharadwaj, MD5, Nithi Fernandes, MD2,3, Leopold Arko, MD MS4
1Dept of Pediatric Cardiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH 45220
2Central Michigan University, Mt. Pleasant MI 48859
3Dept of Neonatology, Children’s Hospital of Michigan, Detroit MI 48201
4Dept of Neurosurgery, Children’s Hospital of Michigan, Detroit MI 48201 5Dept of Pediatrics, Children’s Hospital of Michigan, Detroit MI 48201
*Corresponding Author: Ashish Shrivastava, Department of Pediatric Cardiology, Cincinnati Children’s Hospital Medical Center 3333 Burnet Ave, Cincinnati, Ohio-45220, USA.
https://doi.org/10.58624/SVOAPD.2025.04.005
Received: February 28, 2025
Published: March 18, 2025
Citation: Shrivastava A, Bharadwaj M, Fernandes N, Arko L. Neonatal Presentation of Vein of Galen Aneurysmal Malformation: A Case Report. SVOA Paediatrics 2025, 4:2, 30 35. doi: 10.58624SVOAPD.2025.04.005
Abstract
Background: Vein of Galen Aneurysmal Malformation (VGAM) is a rare vascular malformation that is commonly diagnosed prenatally. Given the requirement of complex neurosurgical interventions and poor morbidity associated with most cases, adequate preparation is the key. Non-specific manifestations as the initial presentation can cause a delay in making the diagnosis.
Case Presentation: We present a case of a choroidal type of VGAM diagnosed after birth in a neonate who rapidly progressed to cardiovascular decompensation despite timely recognition and management in a level IV neonatal intensive care unit (NICU).
Conclusion: There is a paucity of literature on neonatal presentation of VGAM without prior diagnosis and the present case highlights the necessity of having a high index of suspicion in order to diagnose and treat the patient effectively.
Keywords: Vein, Galen, Intracranial, Malformation, Case, Report